Organization
SAM FARANESH DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMER FARANESH DMD (PRESIDENT)
(702) 812-1316
Entity
Organization
Contact information
Practice address
2843 SAINT ROSE PKWY STE 100, HENDERSON, NV 89052-4814
(702) 492-1955
(702) 492-7663
Mailing address
8184 TONE ST, LAS VEGAS, NV 89123-0215
(702) 812-1316
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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